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JACLYN FALLON
NPI 1689816340
Pediatrics in Garnerville, NY

Active since March 27, 2009PECOS Enrolled
171 RAMAPO RD, GARNERVILLE, NY 10923(845) 947-1772(845) 947-4487 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaclyn Fallon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN FALLON (NPI 1689816340) is an individual pediatrics provider in Garnerville, New York, licensed in New York (264124) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689816340
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJACLYN FALLON
Location Address171 RAMAPO RDGarnerville, NY 10923-1552
Mailing Address22 Saw Mill River Rd, 2nd FloorHawthorne, NY 10532-1533 · (845) 947-1772 · Fax (845) 947-4487
Phone(845) 947-1772
Fax(845) 947-4487
Sole ProprietorNo
Enumeration DateMarch 27, 2009
Last NPPES UpdateJuly 23, 2013
✔ NPI 1689816340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 264124
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
171 RAMAPO RD, Garnerville, NY 10923
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Other Identifiers 1

Medicaid03464413NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Fallon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Fallon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boston Children's Health Physicians, LLP
12 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEN STEVEN LAUB M.D.
Pediatrics
171 RAMAPO RD
GARNERVILLE, NY 10923
Rockland County (845) 947-1772
MICHELE E NEWMEYER MD
Pediatrics
171 RAMAPO RD
GARNERVILLE, NY 10923
Rockland County (845) 947-1772
JEFFREY S LEEN MD
Ophthalmology
171 RAMAPO RD
GARNERVILLE, NY 10923
Rockland County (845) 947-2240
DAVID R DORF M.D.
Specialist
171 RAMAPO RD
GARNERVILLE, NY 10923
Rockland County (845) 947-1422
LOW TOR OPTICAL
Eyewear Supplier
171 RAMAPO RD
GARNERVILLE, NY 10923
Rockland County (845) 947-2240
NORTH ROCKLAND PEDIATRIC ASSOCIOATES,P.C.
Pediatrics
171 RAMAPO RD
GARNERVILLE, NY 10923
Rockland County (845) 947-1772
DR. MICHELE LYNN GORLITSKY MD
Pediatrics
171 RAMAPO RD
GARNERVILLE, NY 10923
Rockland County (845) 947-1772
WILLIAM B GOLDMAN DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
171 RAMAPO RD, LOW TOR PROFESSIONAL CENTER ROUTE 202
GARNERVILLE, NY 10923
Rockland County (845) 947-3666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Fallon's NPI number?

The NPI number for Jaclyn Fallon is 1689816340. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Jaclyn Fallon located?

Jaclyn Fallon practices at 171 Ramapo Rd, Garnerville, NY 10923. The listed phone number is (845) 947-1772.

What is Jaclyn Fallon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jaclyn Fallon enrolled in Medicare?

Yes. Jaclyn Fallon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Fallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Fallon reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Fallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Fallon accept?

Health plans from Oscar Health list Jaclyn Fallon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Fallon was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.